Associate Director For Managed Care Business Operations

North Carolina Department of Health and Human Services (DHHS)

Unknown, North Carolina, USA
$75,925 - $148,054; recruitment range: $75,925 - $...
Hybrid
Medicaid managed care oversight
Claims management fee payments
Capitation payments
The position will assume management level strategic duties and assist with the management of correct claims, management fee payments, capitation payments, and correct encounters in our implementation of Medicaid Managed Care

Job Summary

  • The position will assume management level strategic duties and assist with the management of correct claims, management fee payments, capitation payments, and correct encounters in our implementation of Medicaid Managed Care.
  • The position will also interview, hire, train, mentor, and develop and delegate to direct reports.
  • The State of North Carolina offers excellent comprehensive benefits, including health insurance options, retirement plans, and paid leave.

Matching Summary

The position will assume management level strategic duties and assist with the management of correct claims, management fee payments, capitation payments, and correct encounters in our implementation of Medicaid Managed Care.

Salary

$75,925 - $148,054; Recruitment Range: $75,925 - $112,112; Benefits: Comprehensive State Benefits

Skills & Requirements

Must-have

  • Medicaid Managed Care oversight
  • claims management fee payments
  • capitation payments
  • encounter data validation
  • business process coordination
  • performance dashboard development

Nice-to-have

  • strategic management and analysis
  • data anomaly identification
  • process improvement facilitation
  • mentoring and development of staff

Key Requirements

  • Master's degree and 5 years experience (3 supervisory)
  • Bachelor's degree and 7 years experience (3 supervisory)
  • Equivalent combination of education and experience

Work Rights

Not specified

Tailored Resume

Cover Letter